Lyonel De Sagun, | |
1979 Marcus Ave, Suite 204, Lake Success, NY 11042-1002 | |
(516) 327-4681 | |
Not Available |
Full Name | Lyonel De Sagun |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1979 Marcus Ave, Lake Success, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275576787 | NPI | - | NPPES |
019091 | Other | NY | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 019091 (New York) | Primary |
Provider Name | Epic Long Island |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174563936 PECOS PAC ID: 7315835907 Enrollment ID: O20040305000757 |
Provider Name | Lifespire, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497709166 PECOS PAC ID: 5496644015 Enrollment ID: O20040312000104 |
Provider Name | Epic Medical Services Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134589609 PECOS PAC ID: 8628365582 Enrollment ID: O20160921001908 |
Mailing Address | Practice Location Address |
---|---|
Lyonel De Sagun, 10 E 16th St, Huntington Station, NY 11746-2911 Ph: (631) 816-9696 | Lyonel De Sagun, 1979 Marcus Ave, Suite 204, Lake Success, NY 11042-1002 Ph: (516) 327-4681 |
Joan B Monaghan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2800 Marcus Avenue, Suite 101, Lake Success, NY 11040 Phone: 516-622-6161 Fax: 516-622-6171 | |
Agewell Diagnostics, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1999 Marcus Avenue, Suite M15, Lake Success, NY 11042 Phone: 516-488-8808 Fax: 516-488-8808 | |
Maricel De Vera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1979 Marcus Ave, Suite 204, Lake Success, NY 11042 Phone: 516-327-4681 | |
Mark Alan Herbrich, P.T., M.A. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1999 Marcus Ave, Suite M15, Lake Success, NY 11042 Phone: 516-488-8808 Fax: 516-488-8818 | |
John J Dragan, P.T., GCS Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1999 Marcus Ave, Suite M15, Lake Success, NY 11042 Phone: 516-488-8808 Fax: 516-488-8818 | |
Miss Maria C R Baltasar, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1979 Marcus Ave, Suite 204, Lake Success, NY 11042 Phone: 516-327-4681 |